29D1014749 CLIA NUMBER - RENOWN CHILDRENS-DOUBLE R

Laboratory Demographics

  • CLIA Code: 29D1014749
  • Facility Name: RENOWN CHILDRENS-DOUBLE R
  • Facility Address: 10581 DOUBLE R BLVD
    RENO, NV
    ZIP 89521
  • Facility Phone: 775 982-7780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTIN L. WILSON
  • NPI Number: 1497226823
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D1014749
LAB Type Physician Office
Facility Name RENOWN CHILDRENS-DOUBLE R
Street 10581 DOUBLE R BLVD
City RENO
State NV
ZIP 89521
Phone 775 982-7780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director KRISTIN L. WILSON

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This page was last updated on: 9/29/2025